Individual
MR. BRENFORD EDWIN SERGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
653 STREET OF DREAMS, MARTINSBURG, WV 25403-1140
(304) 582-4977
Mailing address
653 STREET OF DREAMS, MARTINSBURG, WV 25403-1140
(304) 582-4977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1080
WV
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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